【摘要】 目的 探讨数字化无托槽隐形矫正与固定矫正技术在牙周病伴错牙合畸形患者中的应用效果。方法 回顾性采集2020年1月至2022年12月郑州颐和医院收治的98例牙周病伴错牙合畸形患者资料，根据治疗方法将患者分为固定矫正组(45例)和隐形矫正组(53例)，查阅患者资料，记录两组临床相关指标，治疗前后牙周指数、炎症水平。结果 相较于固定矫正组，隐形矫正组矫正时间、倾斜牙扶正时间、扭转牙转正时间均较短(P<0.05);经过治疗，两组患者牙龈指数(GI)、龈沟出血指数(SBI)、龈沟探诊深度(SPD)、菌斑指数(PLI)均升高，但隐形矫正组低于固定矫正组(P<0.05);经过治疗，两组的肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)均升高，但隐形矫正组低于固定矫正组(P >0.05)。结论 牙周病伴错牙合畸形患者使用数字化无托槽隐形矫正，相较于固定矫正技术效果更好，可缩短矫正时间，更好地改善患者牙周健康。更多还原

【Abstract】 Objective To explore the application effect of digital bracket invisible correction and fixed correction technology in patients with periodontal disease and malocclusion. Methods A retrospective analysis was conducted on 98 patients with periodontal disease and malocclusion who were admitted to Zhengzhou Yihe Hospital from January 2020 to December 2022. The patients were divided into a fixed correction group( 45 cases) and a invisible correction group( 53 cases) according to different treatment methods. The patient data was reviewed,and the clinical relevant indicators of the two groups were recorded. The periodontal index and inflammation level before and after treatment were also recorded. Results Compared with the fixed correction group,the invisible correction group had shorter correction time,inclined tooth alignment time,and twisted tooth conversion time( P < 0. 05). After treatment,the gingival index( GI),sulcus bleeding index( SBI),sulcus probing depth( SPD),and plaque index( PLI) of both groups increased,but those of the invisible correction group were lower than those of the fixed correction group( P < 0. 05). After treatment,the levels of tumor necrosis factor-α( TNF-α) and interleukin-1β( IL-1β) in both groups increased,but those in the invisible correction group were lower than those in the fixed correction group( P >0. 05). Conclusion For patients with periodontal disease accompanied by malocclusion,the use of digital non-bracket invisible correction technology is more effective than fixed correction technology,which can shorten the correction time and better improve the patient’s periodontal health.更多还原